MEDICARE: MARISSA BRUNO MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44C05768000	NJ

General Provider Information

NPI Number	:	1780530394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISSA BRUNO MSW, LCSW

Provider Business Mailing Address
First Line	:	1 MEDICAL DR
Second Line	:
City	:	MORRIS PLAINS
State	:	NJ
Zip	:	07950-3155
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MEDICAL DR
Second Line	:
City	:	MORRIS PLAINS
State	:	NJ
Zip	:	07950-3155
Country	:	US
Telephone Number	:	973-298-8608
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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